Individual
DR. MARK GAPONIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1545 9TH ST SW, VERO BEACH, FL 32962-4312
(772) 257-8224
(772) 252-3245
Mailing address
1555 INDIAN RIVER BLVD, VERO BEACH, FL 32960-5639
(772) 257-8224
(772) 252-3245
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN22364
FL
122300000X
Dentist
DS031205L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN22364
STATE LICENSE
FL
Enumeration date
06/25/2007
Last updated
02/28/2025
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